2024 Malibu Club Wk 5 - OR31

Newberg

YOUNG LIFE SUMMER CAMP

2024 Malibu Club, July 2 - 8

WHERE: Malibu Club

WHEN: July 2 - July 8, 2024

DEPARTURE: Monday evening, July 1st | Time: TBD

RETURN: Tuesday morning, July 9th | Time: TBD

COST: $ 1200

A deposit of $100 is required to hold your spot and is non-refundable after March 1

After completing this form, a confirmation will be sent with the information you have entered below.

Questions and Information:

Contact Laurie Rauch, YoungLife Team Leader: 503-516-3111 (texting preferred)

Participant Information

Guest Type*

Summer 2024*

Malibu Club [Join Waitlist]

Registration Options*

Register and pay deposit or full payment with credit card
Please select to make a deposit or full payment with a credit card below.
Register and pay deposit or full payment with cash or check
Select this option if you plan to pay your deposit with cash or check. Until this is received the camper spot is not guaranteed.

Participant Name*

Date of Birth*

Phone*

Email*

Opt-in to receive email and text message communications.

You agree to Young Life's terms and privacy policy. Msg & Data rates may apply.

Participant Address*

Gender*

Male
Female

Additional Comment

Ethnicity*

T-shirt Size

School*

High School Graduation Year*

I have a current Passport Book or Passport Card*

Yes
No

If yes, expiration date of Passport Book/Card

Who invited you to camp. Please enter name or N/A*

Parent / Guardian Information

Name*

Phone*

Phone Type*

Email*

Address is same as participant

Address*

Would you like to cover the 3% credit card processing fee?*

Yes
No

Credit Card Fee

$0.00

Total

$0.00

Billing Information

Name*

Payment Method

Credit Card
Cash/Check

Credit Card*

Visa
Mastercard
American Express
Discover

Address*

Email*

RegFox Event Registration Software

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